ALEXIS BYRD FOUNTAIN

VIDALIA, GA
NPI1821724386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN274392)
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
ALEXIS BYRD FOUNTAIN FNP-C
122 ALICE COLEMAN DRIVE
VIDALIA, GA 30474
Phone number: 912-805-2273
Mailing Address
ALEXIS BYRD FOUNTAIN FNP-C
297 R T LANE
TARRYTOWN, GA 30470
Phone number:
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